RESUMO
This interventional quasi experimental study was carried out at Gynaecology Department, Jinnah Hospital Lahore to determine frequency, indications of emergency and elective caesarean sections and to establish a comparison of maternal complications. During one year period July 2003-june 2004 total birth were 3932.955 women underwent caesarean section which makes the rate of 24.3% in our unit. Out of 955, 713[74.6%] were emergency and 242[25.4%] were elective caesarean sections. Common indications in emergency group were fetal distress [26.21%], repeat section [18.9%], failed progress of labour [14.3%] and malpresention [13%]. In elective group repeat section [48.7%], malpresentation [17.3%], cephalopelvic disproportion [10.8%] antepartum haemorrhage [8.3%] were common indications. 490[93.2%] patients in emergency group required blood transfusions mainly due to anemia and 36[6.8%] patients in elective group were transfused mainly due to placenta previa.54 women faced intraoperative complications.54[93.1%] belong to emergency group and 4[6.89%] belong to elective group. caesarean hysterectomy were done in 6 patients in emergency group. post operative complications were encountered in 162 patients.150[92.6%] were from emergency and 12[7.4%] were from elective group. Infective morbidity constituted the major post operative problem